UNITED KINGDOM SURVEY - 2018 SURVEY (WAVE 2) - Food Policy Study

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UNITED KINGDOM SURVEY - 2018 SURVEY (WAVE 2) - Food Policy Study
UNITED KINGDOM SURVEY
2018 SURVEY (WAVE 2)

MAY 22, 2019
UNITED KINGDOM SURVEY - 2018 SURVEY (WAVE 2) - Food Policy Study
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

ACKNOWLEDGEMENTS
FUNDING FOR THE INTERNATIONAL FOOD POLICY STUDY WAS PROVIDED BY
A CANADIAN INSTITUTES OF HEALTH RESEARCH (CIHR) PROJECT GRANT,
WITH ADDITIONAL SUPPORT FROM AN INTERNATIONAL HEALTH GRANT,
THE PUBLIC HEALTH AGENCY OF CANADA (PHAC), AND A CIHR-PHAC
APPLIED PUBLIC HEALTH CHAIR. THE STUDY HAS NO AFFILIATIONS WITH THE
FOOD INDUSTRY AND THERE ARE NO CONFLICTS OF INTERESTS TO DECLARE.

SUGGESTED CITATION
HAMMOND D. INTERNATIONAL FOOD POLICY STUDY: UNITED KINGDOM
SURVEY – 2018 SURVEY (WAVE 2). UNIVERSITY OF WATERLOO. MAY 2019.

CONTACT
DAVID HAMMOND PhD
SCHOOL OF PUBLIC HEALTH & HEALTH SYSTEMS
UNIVERSITY OF WATERLOO
WATERLOO, ON CANADA N2L 3G1
DHAMMOND@UWATERLOO.CA
WWW.DAVIDHAMMOND.CA

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

LIST OF MEASURES
INTRODUCTION .................................................................................................................................... 7
SMARTPHONES                                                                                                                                           7
ELIGIBILITY INTRO                                                                                                                                     7
AGE                                                                                                                                                   7
SEX AT BIRTH                                                                                                                                          7
INFO                                                                                                                                                  7
CONSENT                                                                                                                                               7
DEMOGRAPHICS ................................................................................................................................... 8
PREAMBLE                                                                                                                                              8
GENDER                                                                                                                                                8
STUDENT STATUS                                                                                                                                        8
OCCUPATION                                                                                                                                            8
CHILDREN – ANY                                                                                                                                        8
CHILDREN IN HOME - NUMBER                                                                                                                             9
CURRENT LIVING SITUATION                                                                                                                              9
FOOD SOURCES .................................................................................................................................... 9
FOOD SOURCE –                                                                                                                                         9
EATING OUT FREQUENCY                                                                                                                                  9
FOOD SOURCE – PURCHASE LOCATIONS FOR FOOD PREPARED OUTSIDE THE HOME                                                                                   10
FOOD SOURCE – PURCHASE FORMAT FOR FOOD PREPARED OUTSIDE THE HOME                                                                                      10
FOOD SOURCE – FAST FOOD FREQUENCY                                                                                                                     11
FOOD SOURCE – % PREPARED OUTSIDE HOME                                                                                                                 11
FOOD SOURCE – AT HOME INTRO                                                                                                                           11
FOOD SOURCE – PURCHASE LOCATIONS FOR FOOD PREPARED AT HOME                                                                                            11
FOOD SOURCE – PURCHASE LOCATIONS FOR FOOD PREPARED AT HOME BY PERCENTAGE                                                                              12
READY-TO-EAT MEALS                                                                                                                                    12
BEVERAGE INTAKE ...............................................................................................................................13
BEVERAGE FREQUENCY INTRO                                                                                                                              13
BEVERAGE FREQUENCY QUESTIONNAIRE (BFQ) – NUMBER OF DRINKS BY TYPE                                                                                     13
BFQ – USUAL SIZE                                                                                                                                      14
FOOD PREPARATION AND FOOD SKILLS ...............................................................................................22
FOOD SHOPPING ROLE                                                                                                                                    22
CONFIDENCE IN 8 COOKING TECHNIQUES                                                                                                                    22
CONFIDENCE IN COOKING 10 FOODS                                                                                                                        23
ABILITY TO PREPARE 4 TYPES OF DISHES                                                                                                                  23
FREQUENCY OF PREPARING MAIN MEALS                                                                                                                     23
COOKING SKILLS – GENERAL                                                                                                                              24
FOOD SECURITY ...................................................................................................................................24
FOOD SECURITY – INTRO                                                                                                                                 24
FOOD SECURITY – HH1                                                                                                                                   24
FOOD SECURITY – HH INTRO                                                                                                                              24
FOOD SECURITY – HH2                                                                                                                                   24
FOOD SECURITY – HH3                                                                                                                                   24
FOOD SECURITY – HH4                                                                                                                                   25
FIRST LEVEL SCREENING                                                                                                                                 25
FOOD SECURITY – AD1                                                                                                                                   25
FOOD SECURITY – AD1a                                                                                                                                  25
FOOD SECURITY – AD2                                                                                                                                   25
FOOD SECURITY – AD3                                                                                                                                   25
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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

FOOD SECURITY – AD4                                                                                                                              25
SECOND LEVEL SCREENING                                                                                                                           25
FOOD SECURITY – AD5                                                                                                                              26
FOOD SECURITY – AD5a                                                                                                                             26
CHILD LEVEL 1 SCREENING                                                                                                                          26
FOOD SECURITY CHILD INTRO                                                                                                                        26
FOOD SECURITY – CH1                                                                                                                              26
FOOD SECURITY – CH2                                                                                                                              26
FOOD SECURITY – CH3                                                                                                                              26
CHILD LEVEL 2 SCREENING                                                                                                                          26
FOOD SECURITY – CH4                                                                                                                              27
FOOD SECURITY – CH5                                                                                                                              27
FOOD SECURITY – CH5a                                                                                                                             27
FOOD SECURITY – CH6                                                                                                                              27
FOOD SECURITY – CH7                                                                                                                              27
DIETARY PATTERNS AND EFFORTS .......................................................................................................28
EATING RESTRICTIONS                                                                                                                              28
DIET MODIFICATION EFFORTS                                                                                                                        28
WEIGHT LOSS EFFORTS, BODY PERCEPTIONS, AND WEIGHT STIGMA ....................................................29
PERCEIVED BODY SIZE                                                                                                                              29
PERCEIVED WEIGHT                                                                                                                                 29
WEIGHT BEHAVIOUR                                                                                                                                 29
WEIGHT LOSS METHODS                                                                                                                              30
EAT-3 BEHAVIOURAL ITEMS                                                                                                                          30
EAT-3 ATTITUDINAL ITEM                                                                                                                           31
WEIGHT BIAS                                                                                                                                      31
SUGARY DRINKS ..................................................................................................................................32
POP PERCEIVED HEALTHINESS                                                                                                                        32
POP ACCEPTABLE FREQUENCY FOR CHILDREN                                                                                                            32
SSB PERCEPTIONS - CONDITION                                                                                                                      33
SSB PERCEIVED HEALTHINESS                                                                                                                        33
SSB ACCEPTABLE FREQUENCY FOR CHILDREN                                                                                                            33
SSB SUGAR AMOUNT                                                                                                                                 34
SSB DEFINITION                                                                                                                                   34
SSB SELF CONSUMPTION                                                                                                                             34
SSB SOCIAL NORMS – Q1                                                                                                                            34
SSB SOCIAL NORMS – Q2                                                                                                                            34
SSB SOCIAL NORMS – Q3                                                                                                                            34
SSB SOCIAL NORMS – Q4                                                                                                                            35
PUBLIC TRUST                                                                                                                                     35
SUGAR ATTITUDES                                                                                                                                  35
SSB ATTITUDES                                                                                                                                    36
SUGAR KNOWLEDGE                                                                                                                                  36
NUTRITION KNOWLEDGE .....................................................................................................................37
SELF-REPORTED NUTRITION KNOWLEDGE                                                                                                                37
SOURCES OF NUTRITION INFORMATION ..............................................................................................37
SOURCES OF NUTRITION INFO                                                                                                                        37
PUBLIC EDUCATON                                                                                                                                  38
PUBLIC EDUCATON – DESCRIPTION                                                                                                                    38
DOCTOR ADVICE                                                                                                                                    38

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

FOOD PACKAGING & LABELLING ..........................................................................................................38
NUTRITION INFO IN GROCERY STORES                                                                                                                 38
LABEL AWARENESS                                                                                                                                  39
LABEL USE                                                                                                                                        39
LABEL UNDERSTANDING                                                                                                                              39
NFT AWARENESS                                                                                                                                    40
NFT USE                                                                                                                                          40
NFT UNDERSTANDING                                                                                                                                41
NFT INFLUENCE                                                                                                                                    41
FOOD PRODUCTS – PERCEIVED HEALTH                                                                                                                 42
WARNING LABELS                                                                                                                                   43
RETAIL ENVIRONMENT ........................................................................................................................44
SUPERMARKET POLICIES                                                                                                                             44
HOME RETAIL                                                                                                                                      44
SCHOOL RETAIL                                                                                                                                    44
WORK RETAIL                                                                                                                                      44
MENU LABELLING ................................................................................................................................45
LAST RESTAURANT VISIT                                                                                                                            45
MENU LABELLING – NOTICING                                                                                                                        45
MENU LABELLING – NOTICING LOCATION                                                                                                               45
MENU LABELLING – ORDER                                                                                                                           46
MENU LABELLING – IMPACT                                                                                                                          46
FOOD GUIDE / DIETARY RECOMMENDATIONS .....................................................................................46
FOOD GUIDE – LAST USE                                                                                                                            46
FOOD GUIDE – USE                                                                                                                                 46
FOOD MARKETING...............................................................................................................................47
EXPOSURE TO UNHEALTHY FOOD MARKETING - LOCATION                                                                                                  47
EXPOSURE TO MARKETING – SUGARY DRINKS                                                                                                            47
EXPOSURE TO UNHEALTHY FOOD MARKETING - FREQUENCY                                                                                                 48
EXPOSURE TO MARKETING STRATEGIES                                                                                                                 48
CHILD ASK - MARKETING STRATEGIES                                                                                                                 49
PARENT BUY- MARKETING STRATEGIES                                                                                                                 49
UNHEALTHY FOOD CONSUMPTION FREQUENCY                                                                                                             49
CHILD – PRODUCTS                                                                                                                                 50
CHILD – TOY                                                                                                                                      50
CONCERN ABOUT CHILD’S EXPOSURE TO MARKETING                                                                                                      50
PRICE / TAXATION ...............................................................................................................................50
SUGAR TAX                                                                                                                                        50
SUGAR TAX - AWARENESS                                                                                                                            51
SUGAR TAX - IMPACT                                                                                                                               51
POLICY SUPPORT .................................................................................................................................52
POLICY SUPPORT                                                                                                                                   52
PERCEIVED EFFECTIVENESS OF FISCAL POLICIES – SUPPORT                                                                                             53
PERCEIVED EFFECTIVENESS OF FISCAL POLICIES – EFFECTIVENESS                                                                                       53
SUGARY DRINKS TAX – Q1                                                                                                                           53
SUGARY DRINKS TAX – Q2                                                                                                                           53
HEALTH LITERACY ................................................................................................................................54
GENERAL HEALTH STATUS ...................................................................................................................56
FRUIT CONSUMPTION                                                                                                                                56
FRUIT JUICE CONSUMPTION                                                                                                                          56
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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

SALAD CONSUMPTION                                                                                                                       57
FRIED POTATO CONSUMPTION                                                                                                                58
OTHER POTATO CONSUMPTION                                                                                                                58
OTHER VEGETABLE CONSUMPTION                                                                                                             59
GENERAL HEALTH                                                                                                                          60
OVERALL DIET                                                                                                                            60
MENTAL HEALTH                                                                                                                           60
STRESS                                                                                                                                  60
OTHER HEALTH BEHAVIOURS ...............................................................................................................61
DATA QUALITY CHECK – MONTH                                                                                                              61
SMOKING – PAST 30 DAYS                                                                                                                  61
MARIJUANA USE – FREQUENCY                                                                                                               61
MARIJUANA USE – DRIVEN                                                                                                                  61
MARIJUANA USE – PASSENGER                                                                                                               62
ALCOHOL USE – FREQUENCY                                                                                                                 62
ALCOHOL USE – BINGE DRINKING                                                                                                            62
SOCIODEMOGRAPHIC MEASURES ........................................................................................................63
ETHNICITY                                                                                                                               63
COUNTRY OF BIRTH                                                                                                                        63
HIGHEST EDUCATION                                                                                                                       64
PERCEIVED INCOME ADEQUACY                                                                                                               64
SUBJECTIVE SOCIAL STATUS                                                                                                                65
REGION                                                                                                                                  66
POSTAL CODE                                                                                                                             66
SELF-REPORTED HEIGHT                                                                                                                    66
SELF-REPORTED HEIGHT CONFIRMATION                                                                                                       67
SELF-REPORTED HEIGHT CORRECTION                                                                                                         67
SELF-REPORTED WEIGHT                                                                                                                    67
SELF-REPORTED WEIGHT CONFIRMATION                                                                                                       68
SELF-REPORTED WEIGHT CORRECTION                                                                                                         68
END SCREEN                                                                                                                              69
REDIRECT TO NIELSEN                                                                                                                     69

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

INTRODUCTION

DOMAIN              QUESTION
SOURCE
SMARTPHONES         STOP HERE IF YOU ARE USING A SMARTPHONE!
                    The survey will only work on a laptop, desktop computer or tablet.
                    Do NOT click 'next' if you are using a smartphone: you will be locked out of the survey.
                    Close your browser and reopen the link on a laptop, desktop computer or tablet.

                    [If Smartphone: Sorry, you must be using a laptop, desktop computer, or tablet to take this survey. Thank you for your time. You will now be redirected back
                    to the survey company.
ELIGIBILITY INTRO   Before you continue to the study information, we need to confirm your eligibility with a few short questions.
AGE                 How old are you?
                       [numeric]
AGE
                    [If
UNITED KINGDOM SURVEY - 2018 SURVEY (WAVE 2) - Food Policy Study
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

DEMOGRAPHICS

DOMAIN                 QUESTION
SOURCE
PREAMBLE               The first section of this survey includes questions about where you get food, the types of food you eat, the places you eat, and your background.
GENDER                 What is your current gender identity?
CIHR SUGGESTED
                       Man
METHOD (GRETA BAUER,
WESTERN)               Woman
                       Trans male/trans man
GENDER                 Trans female/trans woman
GENDER_OTEXT
                       Gender queer/gender non-conforming
                       Different identity  Please specify: [open-ended]
                       Don’t know
                       Refuse to answer
STUDENT STATUS         Are you currently a student?
                       No
STUDENT
                       Yes, full-time
                       Yes, part-time
                       Don’t know
                       Refuse to answer
OCCUPATION             What was your main activity in the past week?
ADAPTED FROM CCHS
                       Working at a paid job or business
                       Vacation (from paid work)
OCCUP
OCCUP_OTEXT
                       Looking for paid work
                       Going to school/college/university (including vacation from school/college/university)
                       Caring for children
                       Household work
                       Retired
                       Maternity/paternity leave
                       Long term illness
                       Volunteering
                       Caregiving other than for children
                       Other (please specify):____________
                       Don’t know
                       Refuse to answer
CHILDREN – ANY         Do you have any children (including step-children or adopted children)?
                       Yes
CHILD_ANY
                       No
                       Don’t know
                       Refuse to answer

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

CHILDREN IN HOME -   UNIVERSE: Respondents with children (child_any=yes)
NUMBER               How many of your children under the age of 18 live in your household (including step-children or adopted children)?
BRFSS ADAPTED
                     [dropdown with numbers up to 10]
CHILD_HOME           Don’t know
                     Refuse to answer
CHILDREN IN HOME –   UNIVERSE: Respondents with at least 1 child 0)
AGES                 Please enter the age[s] of your child[ren] who [is/are] under 18 that live[s] in your household, in years, in the box(es) below.
                     Child 1: [numeric, decimal allowed]
CHILD#_AGE           Child 2: [numeric, decimal allowed]
CHILD#_DKR
                     Child #… [PROGRAMMER NOTE: add rows based on response to number of children living in household, up to 10 children]
                     Don’t know
                     Refuse to answer
CURRENT LIVING       [PROGRAMER NOTE: Only display “My child(ren) under the age of 18” if child_home>0. Only display “My child(ren) age 18 or older” if child_any=yes].
SITUATION            What is your current living situation? I live with… (Select all that apply)
                     My parent(s) / guardian(s)
LIVE_PARENT
LIVE_SPOUSE          My partner / spouse
LIVE_CHILD           My child(ren) under the age of 18
LIVE_ADCHILD         My child(ren) age 18 and older
LIVE_RELATIVE
                     Brother(s), sister(s) or other relative(s)
LIVE_ROOM
LIVE_SCHOOL          People not related to me (flatmates or housemates)
LIVE_ALONE           I live in accommodation provided by my school, university or college
LIVE_OTHER           I live alone
LIVE_DK
LIVE_R
                     Other  Please specify: [open-ended]
LIVE_OTEXT           Don’t know
                     Refuse to answer

FOOD SOURCES

DOMAIN               QUESTION
SOURCE
FOOD SOURCE –        Next I’m going to ask you about meals. By meal, I mean BREAKFAST, LUNCH AND EVENING MEALS.
EATING OUT
FREQUENCY
NHANES adapted       During the PAST 7 DAYS, how many meals did you get that were PREPARED AWAY FROM HOME in places such as restaurants, fast food or take-away places,
                     food stands, or from vending machines?
EATOUT               Only include snacks if they counted as your meal.
EATOUT_DKR           Do NOT include today.

                     Enter number: _________ meals [numeric 0-21]
                     Don’t know
                     Refuse to answer

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UNITED KINGDOM SURVEY - 2018 SURVEY (WAVE 2) - Food Policy Study
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

FOOD SOURCE –         UNIVERSE: Respondents who had at least 1 meal prepared away from home (eatout>0)
PURCHASE LOCATIONS    You said you had [#] meal(s) prepared outside the home in the past 7 days.
FOR FOOD PREPARED
OUTSIDE THE HOME
                      How many of these meals did you get from each of the following locations?
EATOUT_LOC1…9
EATOUT_LOC9_OTEXT     # of meals
EATOUT_LOC_DKR
                      [numeric] Fast food / take-away / café (i.e., order from a counter, online, or by phone)
                      [numeric] Sit-down restaurant or pub with a waiter/waitress
                      [numeric] Work or school/university/college canteen (NOT including fast food chains)
                      [numeric] Sandwich/Ready-meal from a supermarket
                      [numeric] Burger, chip or kebab van / ‘street food’
                      [numeric] Convenience shop / corner shop / petrol station
                      [numeric] Leisure centre, recreation, or entertainment venue
                      [numeric] Vending machine
                      [numeric] Some other kind of place (Please specify):
                      Don't know
                      Refuse to answer
FOOD SOURCE –         UNIVERSE: Respondents who had at least 1 meal prepared away from home (eatout>0)
PURCHASE FORMAT FOR   You said you had [#] meal(s) prepared outside the home in the past 7 days.
FOOD PREPARED
OUTSIDE THE HOME
                      How many of those meals were…
FROM_DELSERV
FROM_DELDIRECT        [numeric] Ordered using a food delivery service (e.g., UberEats, Just Eat, Deliveroo) and delivered to you
FROM_NEAR             [numeric] Ordered directly from a restaurant and delivered to you
FROM_FAR              [numeric] Purchased at a restaurant/food outlet within 5 minutes of your home (using your usual mode of transportation, e.g., walk, drive, or public
FROM_DKR
FROM_TS
                       transport), excluding delivery
                      [numeric] Purchased at a restaurant/food outlet more than 5 minutes away from your home (using your usual mode of transportation, e.g., walk, drive, or
                       public transport), excluding delivery
                      Don't know
                      Refuse to answer

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

FOOD SOURCE – FAST     UNIVERSE: Respondents who indicated they purchased any meals from a “Fast food / quick service / café” (eatout_loc1>0)
FOOD FREQUENCY         You told us you ate [#] meal(s) from FAST FOOD OR TAKE-AWAY RESTAURANT(S) in the past 7 days.
FF_1… 11
FF_11_OTEXT            How many of these meals did you get from each of the following types of fast food or take-away restaurants?
FF_DKR
                       # of meals
                       [numeric] Café / Bakery (Pret a Manger, Starbucks, Costa, etc.)
                       [numeric] Burger / chips (McDonald’s, Burger King, etc.)
                       [numeric] Sandwich / sub (Subway, etc.)
                       [numeric] Pizza (Dominos, etc.)
                       [numeric] Fried chicken (KFC, Nando’s, etc.)
                       [numeric] Fish and chips
                       [numeric] Mexican (Chipotle, etc.)
                       [numeric] Asian / International fast food (Indian, Chinese, kebab, shawarma, etc.)
                       [numeric] Ice cream / frozen yogurt (Yoo-moo, ice-cream shop, etc.)
                       [numeric] Fresh food / Smoothie bar
                       [numeric] Some other kind of place  Please specify: [open-ended]
                       Don’t know
                       Refuse to answer
FOOD SOURCE – %        Thinking about ALL THE FOOD YOU ATE during the past 7 days, INCLUDING SNACKS, what percentage was prepared outside the home?
PREPARED OUTSIDE
                       Enter percentage: _________ [numeric percentage, 0 to 100%]
HOME
EATOUT_PERC            Don’t know
EATOUT_PERC_DKR        Refuse to answer
FOOD SOURCE – AT       We are now going to ask you about the food you ate during the past 7 days that was PREPARED AT HOME.
HOME INTRO

                       For example: If you made lunch at home and brought it to work or school, this would be "prepared at home". If your food came from home - even if it
                       needed little or no preparation (e.g., an apple or crackers) - that counts as “prepared at home". Include food prepared by you or someone else at home.

                       DO NOT include drinks.
FOOD SOURCE –          Please think about the food you ate that was PREPARED AT HOME DURING THE PAST 7 DAYS. Where was it PURCHASED? Select all that apply.
PURCHASE LOCATIONS
                       Supermarket
FOR FOOD PREPARED AT
HOME                   Cash & carry (e.g., Costco)
                       Convenience / corner shop
HS_1…6, HS_8…10        Pharmacy
HS_DK
                       Farmer’s market stall or greengrocer
HS_R
HS_10_OTEXT            Ethnic or speciality food shop
HS_none                Supermarket delivery (e.g., Ocado)
                       Food bank
                       Some other place  Please specify: [open-ended]
                       I have not prepared any food at home in the past 7 days
                       Don’t know
                       Refuse to answer
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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

FOOD SOURCE –          UNIVERSE: Respondents who indicated they purchased meals from any locations in the previous HS question.
PURCHASE LOCATIONS     Still thinking about the food PREPARED AT HOME IN THE PAST 7 DAYS, what percentage of food was purchased from each place?
FOR FOOD PREPARED AT
HOME BY PERCENTAGE
                       Enter a percentage for each source. Sources must add to 100%.
HSP_1…6, HSP_8…10
HSP_DK                 [PROGRAMMER NOTE: Only show locations selected in previous question.]
HSP_R                  [numeric] Supermarket
                       [numeric] Cash & carry (e.g., Costco)
                       [numeric] Convenience / corner shop
                       [numeric] Pharmacy
                       [numeric] Farmer’s market stall or greengrocer
                       [numeric] Ethnic or speciality food shop
                        [numeric] Supermarket delivery (e.g., Ocado)
                       [numeric] Food bank
                       [numeric] [PROGRAMMER: Insert “Some other place” text from previous question]

                       [fill with total] out of 100% Total

                       Don’t know
                       Refuse to answer
READY-TO-EAT MEALS     UNIVERSE: Respondents who did NOT indicate they ”have not prepared any food at home in the past 7 days” (HS_none not selected)
                       Thinking about the MEALS PREPARED AT HOME in the past 7 days, what percentage was “ready-to-eat” or “ready-meals” (e.g., microwave, frozen or
READY
                       packaged meals)?
READY_DKR
                       This includes foods like frozen pizza, fish fingers, tinned soup, baking mixes, instant porridge, etc.

                       Enter percentage: _________ [numeric percentage, 0 to 100%]
                       Don’t know
                       Refuse to answer

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

BEVERAGE INTAKE

DOMAIN              QUESTION
SOURCE
BEVERAGE            Next, we’d like to ask you about the drinks you’ve had over the PAST 7 DAYS.
FREQUENCY INTRO

                    We’ll be asking you about different categories of drinks.

                    First, we’ll ask you the TOTAL NUMBER OF DRINKS you’ve had in each category.

                    Second, we’ll ask you about your USUAL SIZE OF DRINK in each category.

BEVERAGE            During the PAST 7 DAYS, HOW MANY DRINKS did you have in each category below?
FREQUENCY
                    For example, if you had 2 regular fizzy drinks during the past 7 days, you would enter 2 in that box.
QUESTIONNAIRE
(BFQ) – NUMBER OF   If you had 1 regular fizzy drink EACH day, you would enter 7 in that box.
DRINKS BY TYPE
ADAPTED FROM        [PROGRAMMER NOTE: Responses must be numeric and between 0-100; only allow participant to select 1 of none of the above, DK or R]
SEVERAL OTHER
PAPER FFQS FOR
                    # OF DRINKS
BEVERAGES.
                    [numeric] Fizzy drinks (Coke, Pepsi, 7-up, Sprite, root beer, etc) *Not including diet fizzy drinks
BFQ_#_N             [numeric] Diet fizzy drinks (Diet Pepsi, Coke Zero, etc.)
BFQ_NONE            [numeric] 100% fruit or vegetable juice (orange juice, apple juice, etc.)
BFQ_DK_N
                    [numeric] Sweetened fruit drinks (lemonade, iced tea, SunnyD, fruit punch/cocktail, etc.)
BFQ_R_N
                    [numeric] Low-/no-calorie fruit drinks (diet lemonade, unsweetened iced tea, etc.)
                    [numeric] Tap water
                    [numeric] Plain bottled water
                    [numeric] Sweetened flavoured waters or vitamin waters with calories
                    [numeric] Low-/no-calorie flavoured waters or vitamin waters (Touch of Fruit, Perfectly Clear, etc.)
                    [numeric] Regular sports drinks (Lucozade Sport, Powerade, etc.)
                    [numeric] Low-/no-calorie sports drinks (Lucozade Sport Low Cal, Powerade Zero, etc.)
                    [numeric] Regular energy drinks (Red Bull, Rockstar, Monster, etc.)
                    [numeric] Low-/no-calorie energy drinks (Red Bull Sugarfree, etc.)
                    [numeric] White milk or unsweetened milk alternatives (unsweetened soy, almond, etc.) as a beverage *NOT including milk consumed in
                               cereal, etc.
                    [numeric] Chocolate or flavoured milk (incl. hot chocolate), or sweetened milk alternatives (sweetened soy, almond, etc.)
                    [numeric] Coffee or tea, with milk/cream or sugar
                    [numeric] Coffee or tea, no milk/cream or sugar, with or without artificial sweetener
                    [numeric] Speciality coffees (lattes, mochas, frappucinos, macchiatos, etc.)
                    [numeric] Sweetened smoothies, protein shakes, or drinkable yogurt
                    [numeric] Unsweetened smoothies, protein shakes, or drinkable yogurt
                    [numeric] Beer, cider, lager
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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

                   [numeric] Wine (red, white or rose)
                   [numeric] Spirits with mixers, cocktails that have calories (rum & coke, gin & tonic, margarita, etc.)
                   [numeric] Spirits with no mixers or non-caloric mix (shots, whiskey on the rocks, vodka & soda, rum & diet coke, etc.)
                   None of the above
                   Don’t know
                   Refuse to answer
BFQ – USUAL SIZE   [PROGRAMMER NOTE: For each category that there was at least one drink consumed, ask size question - images should only be shown for beverage categories selected above]
ADAPTED FROM       For each type of drink, what size did you USUALLY have?
SEVERAL OTHER
                   If you had different sizes, select the picture that is closest to the average size.
PAPER FFQS FOR
BEVERAGES.

BFQ_#_SIZE_UK
BFQ_#_SIZE_DK_UK
BFQ_#_SIZE_R_UK

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                      Don’t know [for each type]
                      Refuse to answer [for each type]

FOOD PREPARATION AND FOOD SKILLS

DOMAIN              QUESTION
SOURCE
FOOD SHOPPING       Do you do most of the food shopping in your household?
ROLE
                    Yes
USDA ERS EATING &
HEALTH MODULE       No
                    Share equally with other(s)
SHOP                Don’t know
                    Refuse to answer
CONFIDENCE IN 8     Which, if any, of the following cooking techniques do you feel confident about using? (Select all that apply)
COOKING
                    Boiling
TECHNIQUES
UK NATIONAL DIET    Steaming or poaching
AND NUTRITION       Frying
SURVEY (NDNS)       Stir frying
                    Grilling
TECH_BOIL           Oven-baking or roasting
TECH_STEAM
TECH_FRY
                    Stewing, braising, or casseroling
TECH_STIRFRY        Microwaving
TECH_GRILL          None of the above
TECH_OVEN           Don’t know
TECH_STEW
TECH_MICRO
                    Refuse to answer
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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

CONFIDENCE IN           Which, if any, of the following foods do you feel confident about cooking? (Select all that apply)
COOKING 10 FOODS
                        Red meat
UK NATIONAL DIET
AND NUTRITION           Chicken
SURVEY (NDNS) –         White fish (cod, haddock)
adapted pulses option   Oily fish (salmon)
                        Lentils, chickpeas, dry peas, dry beans
CCOK_MEAT               Dry pasta
COOK_CHICK
COOK_WFISH
                        Rice
COOK_OFISH              Potatoes (not chips)
COOK_LENTIL             Green vegetables (cabbage, spinach, broccoli)
COOK_PASTA              Root vegetables (carrots, parsnips)
COOK_RICE
COOK_POTATO
                        None of the above
COOK_GREEN              Don’t know
COOK_ROOT               Refuse to answer
ABILITY TO PREPARE 4    Would you be able to make the following foods and dishes from beginning to end:
TYPES OF DISHES
UK NATIONAL DIET
AND NUTRITION           Convenience foods and ready meals (e.g. frozen pizza, pre-packaged curry & rice)
SURVEY (NDNS)           A complete meal from ready-made ingredients (e.g. ready-made sauces and pasta to make spaghetti Bolognese)
                        A main dish from basic ingredients (raw potatoes, raw meat, onions etc.), possibly following a recipe (e.g. shepherd’s pie, curry)
PREP_CONV               A cake or biscuits from basic ingredients (flour, milk, eggs, etc.), possibly following a recipe
PREP_READY_INGRED
PREP_BASIC_INGRED       [Insert dropdown list for each of above]
PREP_CAKE               No, not at all
                        Yes, with a lot of help
                        Yes, with a little help
                        Yes, with no help at all
                        Don’t know
                        Refuse to answer
FREQUENCY OF            How often do you prepare a main meal for yourself or others?
PREPARING MAIN
                        Never
MEALS
UK NATIONAL DIET        Only for special occasions
AND NUTRITION           Less than once a week
SURVEY (NDNS)           One or two days a week
                        Some days (3–4 a week)
PREP_FREQ               Most days (5–6 a week)
                        Every day
                        Don’t know
                        Refuse to answer

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

COOKING SKILLS –     Overall, how would you rate your cooking skills?
GENERAL
                     Poor
SKILL_OVERALL        Fair
                     Good
                     Very good
                     Excellent
                     Don’t know
                     Refuse to answer

FOOD SECURITY

DOMAIN               QUESTION
SOURCE
FOOD SECURITY –      These next questions are about the food eaten in your household in the last 12 months, since [current month] of last year and whether you were able to afford
INTRO
                     the food you need.
USDA HFSM
FOOD SECURITY –      Which of these statements best describes the food eaten in your household in the last 12 months:
HH1
                     You and other household members always had enough of the kinds of foods you wanted to eat.
USDA HFSM
                     You and other household members had enough to eat, but not always the kinds of food you wanted.
HH1                  Sometimes you and other household members did not have enough to eat.
                     Often you and other household members didn't have enough to eat.
                     Don’t know
                     Refuse to answer
FOOD SECURITY – HH   Now you will see several statements that may be used to describe the food situation for a household. Please indicate if the statement was often true, sometimes
INTRO
                     true, or never true for you and other household members IN THE LAST 12 MONTHS – that is since last [name of current month].
FOOD SECURITY –      You and other household members worried that food would run out before you got money to buy more.
HH2
                     Often true
USDA HFSM
                     Sometimes true
HH2                  Never true
                     Don’t know
                     Refuse to answer
FOOD SECURITY –      The food that you and other household members bought just didn't last, and there wasn't any money to get more.
HH3
                     Often true
USDA HFSM
                     Sometimes true
HH3                  Never true
                     Don’t know
                     Refuse to answer

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

FOOD SECURITY –   You and other household members couldn't afford to eat balanced meals.
HH4
                  Often true
USDA HFSM
                  Sometimes true
HH4               Never true
                  Don’t know
                  Refuse to answer
FIRST LEVEL       If affirmative response to one or more of HH1-HH4 (i.e., HH1=3 or 4, or HH2-HH4=1 (“often true") or 2 ("sometimes true"), then continue to AD1; otherwise, if children under age 18 are present in
SCREENING         the household (child_home>0), skip to CH1; otherwise skip to End of Food Security Module.
FOOD SECURITY –   UNIVERSE: Respondents who passed first level screening
AD1               In the last 12 months, since last (name of current month), did you or other adults in your household ever cut the size of your meals or skip meals because there
USDA HFSM
                  wasn't enough money for food?
AD1               Yes
                  No
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: AD1=1 (yes)
AD1a              How often did this happen?
USDA HFSM
                  Almost every month
AD1A              Some months but not every month
                  Only 1 or 2 months
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: Respondents who passed first level screening
AD2               In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money for food?
USDA HFSM
                  Yes
AD2               No
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: Respondents who passed first level screening
AD3               In the last 12 months, were you ever hungry but didn't eat because there wasn't enough money for food?
USDA HFSM
                  Yes
AD3               No
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: Respondents who passed first level screening
AD4               In the last 12 months, did you lose weight because there wasn't enough money for food?
USDA HFSM
                  Yes
AD4               No
                  Don’t know
                  Refuse to answer
SECOND LEVEL      If affirmative response to one or more of AD1-AD4, then continue to AD5; otherwise, if children under age 18 are present in the household (child_home >0), skip to CH1, otherwise skip to End of
SCREENING         Food Security Module.

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FOOD SECURITY –   UNIVERSE: Respondents who passed second level screening
AD5               In the last 12 months, did you or other adults in your household ever not eat for a whole day because there wasn't enough money for food?
USDA HFSM
                  Yes
AD5               No
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: AD5=1 (yes)
AD5a              How often did this happen?
USDA HFSM
                  Almost every month
AD5A              Some months but not every month
                  Only 1 or 2 months
                  Don’t know
                  Refuse to answer
CHILD LEVEL 1     Households with no child under age 18 (child_home=0, DK/R), skip to End of Food Security Module.
SCREENING
FOOD SECURITY     UNIVERSE: At least 1 child 0)
CHILD INTRO       Now you will see several statements that people have made about the food situation of their children.
FOOD SECURITY –   UNIVERSE: At least 1 child 0)
CH1               You or other adults in your household relied on only a few kinds of low-cost food to feed the children because you were running out of money to buy food.
USDA HFSM
                  Often true
CH1               Sometimes true
                  Never true
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: At least 1 child 0)
CH2               You or other adults in your household couldn't feed the children a balanced meal, because you couldn't afford that.
USDA HFSM
                  Often true
CH2               Sometimes true
                  Never true
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: At least 1 child 0)
CH3               The children were not eating enough because you or other adults in your household just couldn't afford enough food.
USDA HFSM
                  Often true
CH3               Sometimes true
                  Never true
                  Don’t know
                  Refuse to answer
CHILD LEVEL 2     If affirmative response to one or more of CH1-CH3 (i.e., CH1-CH3= 1 ("often true") or 2 ("sometimes true")), then continue to CH4; otherwise skip to End of Food Security Module.
SCREENING

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FOOD SECURITY –   UNIVERSE: Respondents who passed child level 2 screening
CH4               In the last 12 months, since last [current month] did you ever cut the size of any of the children’s meals because there wasn't enough money for food?
USDA HFSM
                  Yes
CH4               No
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: Respondents who passed child level 2 screening
CH5               In the last 12 months, did any of the children ever skip meals because there wasn't enough money for food?
USDA HFSM
                  Yes
CH5               No
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: CH5=1 (yes)
CH5a              How often did this happen?
USDA HFSM
                  Almost every month
CH5A              Some months but not every month
                  Only 1 or 2 months
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: Respondents who passed child level 2 screening
CH6               In the last 12 months, were the children ever hungry but you just couldn't afford more food?
USDA HFSM
                  Yes
CH6               No
                  Don’t know
                  Refuse to answer
FOOD SECURITY –   UNIVERSE: Respondents who passed child level 2 screening
CH7               In the last 12 months, did any of the children ever not eat for a whole day because there wasn't enough money for food?
USDA HFSM
                  Yes
CH7               No
                  Don’t know
                  Refuse to answer

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

DIETARY PATTERNS AND EFFORTS

DOMAIN              QUESTION
SOURCE
EATING              Would you describe yourself as: (Select all that apply)
RESTRICTIONS
                    Vegetarian
TNT (HEAVILY
ADAPTED)            Vegan
                    Pescatarian
RESTRICT_[TYPE]     Following a religious practice for eating  Please specify: [open-ended]
RESTRICT_NONE
                    None of the above
RESTRICT_DK
RESTRICT_R          Don’t know
RESTRICT_RELTEXT    Refuse to answer
DIET MODIFICATION   Have you made an effort to consume more or less of the following in the past year?
EFFORTS                                      Consume   Consume   No       Don’t   Refuse
TNT                                          LESS      MORE      effort   Know    to
                                                                 made             answer
EFFORT_[TYPE]
EFFORT_OTEXT
                     Calories
                     Fat
                     Trans fat
                     Protein
                     Fibre
                     Sugar/Added sugar
                     Salt/sodium
                     Fruit and vegetables
                     Whole grains
                     Dairy products
                     All meats
                     Red meat (e.g.,
                     beef, pork) only
                     Alcohol
                     ‘Artificial’ low-
                     calorie sweeteners
                     like aspartame
                     ‘Natural’ low-calorie
                     sweeteners like
                     stevia
                     Processed foods
                     Genetically-
                     modified organisms
                     (GMO)

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WEIGHT LOSS EFFORTS, BODY PERCEPTIONS, AND WEIGHT STIGMA

DOMAIN                QUESTION
SOURCE
PERCEIVED BODY SIZE   Which body is most like your own body?
                      UNIVERSE: gender= 2 (woman) or 4 (trans female/trans woman)
K. MAXIMOVA ET AL.
THE ROLE OF
UNDERESTIMATING
BODY SIZE FOR SELF-
ESTEEM AND SELF-
EFFICACY AMONG
GRADE FIVE
CHILDREN IN
CANADA. ANNALS OF
EPIDEMIOLOGY 2015;
25:753-759.
                      UNIVERSE: gender= 1 (man) or 3 (trans male/trans man)
IMAGES FROM
(COLLINS, 1991)

WT_BODY_F
WT_BODY_F_DK
WT_BODY_F_R

WT_BODY_M
WT_BODY_M_DK
WT_BODY_M_R
                      Don’t know
                      Refuse to answer
PERCEIVED WEIGHT      Do you consider yourself to be...
CCHS
                      Obese
WT_PERCEIVE           Overweight
                      Underweight
                      Just about right
                      Don’t know
                      Refuse to answer
WEIGHT BEHAVIOUR      During the past 12 months have you tried to….
Adapted from:         SELECT ALL THAT APPLY
NHANES, 2009-2010
                      Lose weight
WT_TRY_LOSS           Gain weight
WT_TRY_GAIN           Stay the same weight
WT_TRY _SAME          I have not tried to do anything about my weight
WT_TRY_NOT
                      Don’t know
WT_TRY_DK
WT_TRY_R              Refuse to answer

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WEIGHT LOSS             UNIVERSE: Tried to lose weight, but did not try to stay the same weight (wt_try_loss=1 and wt_try_same=0)
METHODS                 How did you try to lose weight in the past 12 months?
NHANES DIET HISTORY
QUESTIONNAIRE           UNIVERSE: Did not try to lose weight, but tried to stay the same weight (wt_try_loss=0 and wt_try_same=1)
(ADAPTED)
                        How did you try to ‘stay the same weight’ in the past 12 months?
WT_LOSS_[TYPE]
WT_LOSS_NONE            UNIVERSE: Tried to lose weight and tried to stay the same weight (wt_try_loss=1 and wt_try_same=1)
WT_LOSS_DK              How did you try to lose weight or ‘stay the same weight’ in the past 12 months?
WT_LOSS_R               Skipped meals or fasted
WT_LOSS_DIETTEXT
                        Ate less food (amount)
WT_LOSS_OTEXT
                        Ate less fat
                        Ate less sugar or sweets
WT_SAME_[TYPE]          Ate fewer carbohydrates
WT_SAME_NONE
                        Ate more fruits, vegetables or salads
WT_SAME_DK
WT_SAME_R               Switched to foods with lower calories
WT_SAME_DIETTEXT        Followed a special diet or weight loss program (e.g., Atkins, Weight Watchers.)  Please specify: [open-ended]
WT_SAME_OTEXT           Used a liquid diet formula such as Slimfast or Optifast
                        Did a cleanse or detox diet
WT_LOSS_SAME_[TYP
E]                      Exercised
WT_LOSS_SAME_NON        Drank a lot of water
E                       Got help from a health professional
WT_LOSS_SAME_DK
                        Took diet pills prescribed by a doctor
WT_LOSS_SAME_R
WT_LOSS_SAME_DIET       Took other pills, medicines, herbs, or supplements not needing a prescription
TEXT                    Took laxatives or vomited
WT_LOSS_SAME_OTE        Started to smoke or began to smoke again
XT
                        Other  Please specify: [open-ended]
                        None of the above
                        Don’t know
                        Refuse to answer
EAT-3 BEHAVIOURAL       In the past 3 months, how often have you:
ITEMS
                        … gone on eating binges? (Eating a large amount of food while feeling out of control).
HAINES J, ZIYADEH NJ,
FRANKO DL,              … made yourself sick (vomited) to control your weight?
MCDONALND J,            Never
MOND JM, AUSTIN SB.     Less than 1 time a month
SCREENING HIGH
                        1 to 3 times a month
SCHOOL STUDENTS
FOR EATING              Once a week
DISORDERS: VALIDITY     2 to 6 times a week
OF BRIEF BEHAVIORAL     Once a day
AND ATTITUDINAL
                        More than once a day
MEASURES. JOURNAL
OF SCHOOL HEALTH,       Don’t know
2011; 81(9):530-535.    Refuse to answer
EAT3_BINGE
EAT3_VOMIT
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EAT-3 ATTITUDINAL       I am preoccupied with a desire to be thinner.
ITEM
                        Always
HAINES J, ZIYADEH NJ,
FRANKO DL,              Usually
MCDONALND J,            Often
MOND JM, AUSTIN SB.     Sometimes
SCREENING HIGH
                        Rarely
SCHOOL STUDENTS
FOR EATING              Never
DISORDERS: VALIDITY     Don’t know
OF BRIEF BEHAVIORAL     Refuse to answer
AND ATTITUDINAL
MEASURES. JOURNAL
OF SCHOOL HEALTH,
2011; 81(9):530-535.

EAT3_THIN
WEIGHT BIAS             I worry about becoming fat.
ONE ITEM (OF 3)
                        Strongly disagree
FROM THE FEAR OF
FAT SUBSCALE OF THE     Disagree
ANTI-FAT ATTITUDES      Neutral
QUESTIONNAIRE           Agree
[PUHL RM, LATNER JL,
                        Strongly agree
KING K, LUEDICKE J.
WEIGHT BIAS AMONG       Don’t know
PROFESSIONALS WHO       Refuse to answer
TREAT EATING
DISORDERS:
ASSOCIATIONS WITH
ATTITUDES ABOUT
TREATMENT AND
PERCEPTIONS OF
PATIENT OUTCOMES.
INT J EATING DISORD
2014; 47: 65–75.]

WT_BIAS

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SUGARY DRINKS

DOMAIN           QUESTION
SOURCE
POP PERCEIVED    In your opinion, how unhealthy or healthy is this type of drink?
HEALTHINESS

SSB_HLTH_POP

                 Very unhealthy
                 Unhealthy
                 A little unhealthy
                 Neither unhealthy nor healthy
                 A little healthy
                 Healthy
                 Very healthy
                 Don’t know
                 Refuse to answer

POP ACCEPTABLE   Imagine that you have a 10-year old child. Is it okay for them to have this type of drink…
FREQUENCY FOR
CHILDREN

SSB_CHILD_POP

                 Never
                 Once per month
                 A few times per month
                 Once per week
                 A few times per week
                 Once per day
                 As often as they would like
                 Don’t know
                 Refuse to answer
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SSB PERCEPTIONS -   [PROGRAMMER NOTE: Randomize each respondent to view one beverage and answer the following set of 3 questions with the same beverage image on screen for each question.]
CONDITION           Diet fizzy drinks
                    100% juice
SSB_CONDITION
                    Energy drink
                    Water
                    Speciality coffee
                    Sports drink
                    Chocolate milk
                    Iced tea

SSB PERCEIVED       In your opinion, how unhealthy or healthy is this type of drink?
HEALTHINESS
                    [show image with mL label]
SSB_HLTH_[TYPE]     Very unhealthy
                    Unhealthy
                    A little unhealthy
                    Neither unhealthy nor healthy
                    A little healthy
                    Healthy
                    Very healthy
                    Don’t know
                    Refuse to answer
SSB ACCEPTABLE      Imagine that you have a 10-year old child. Is it okay for them to have this type of drink…
FREQUENCY FOR
                    [show image with mL label]
CHILDREN
                    Never
SSB_CHILD_[TYPE]    Once per month
                    A few times per month
                    Once per week
                    A few times per week
                    Once per day
                    As often as they would like
                    Don’t know
                    Refuse to answer

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SSB SUGAR AMOUNT     A 500 mL bottle of ‘regular’ Coke has 53 grams of sugar.
SSB_SUGAR_[TYPE]
                     How much sugar do you think the following beverage contains?
                     [show image with mL label]
                     Enter number of grams: ______
                     Don’t know
                     Refuse to answer
SSB DEFINITION       The next few questions ask about SUGAR AND SUGARY DRINKS. Sugary drinks are drinks that contain added sugar, like non-diet fizzy drinks, fruit drinks, sports
                     drinks, energy drinks, chocolate milk, and speciality coffees that have added sugar.
SSB SELF             Is the amount of sugary drinks you typically have in a week…
CONSUMPTION
                     A very unhealthy amount
SSB_SELF             An unhealthy amount
                     Neither unhealthy nor healthy amount
                     A healthy amount
                     A very healthy amount
                     Don’t know
                     Refuse to answer
SSB SOCIAL NORMS –   People important to me TRY NOT to eat foods high in SUGAR.
Q1
                     Strongly agree
SSB_NORMS1           Agree
                     Neither agree nor disagree
                     Disagree
                     Strongly disagree
                     Don’t know
                     Refuse to answer
SSB SOCIAL NORMS –   People important to me THINK I SHOULD NOT eat foods high in SUGAR.
Q2
                     Strongly agree
SSB_NORMS2           Agree
                     Neither agree nor disagree
                     Disagree
                     Strongly disagree
                     Don’t know
                     Refuse to answer
SSB SOCIAL NORMS –   People important to me TRY NOT to drink SUGARY DRINKS.
Q3
                     Strongly agree
SSB_NORMS3           Agree
                     Neither agree nor disagree
                     Disagree
                     Strongly disagree
                     Don’t know
                     Refuse to answer

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

SSB SOCIAL NORMS –   People important to me THINK I SHOULD NOT drink SUGARY DRINKS.
Q4
                     Strongly agree
SSB_NORMS4           Agree
                     Neither agree nor disagree
                     Disagree
                     Strongly disagree
                     Don’t know
                     Refuse to answer
PUBLIC TRUST         Please tell us whether you agree or disagree with the following:
PT_HE_SUGARY_DRINK
S
                     I trust messages from health experts on sugary drinks.
PT_HE_SUGAR          I trust messages from health experts on sugar. [UNIVERSE: UK only]
PT_HE_AS             I trust messages from health experts on artificial sweeteners. [UNIVERSE: UK only]
PT_IND_SUGARY_DRIN   I trust messages from the food and beverage industry on sugary drinks.
KS
PT_IND_SUGAR
                     I trust messages from the food and beverage industry on sugar. [UNIVERSE: UK only]
PT_IND_AS            I trust messages from the food and beverage industry on artificial sweeteners. [UNIVERSE: UK only]
PT_TREASURY          I trust the Treasury to use the revenue from the sugary drinks tax to fund primary school programmes. [UNIVERSE: UK only]
PT_PRODUCERS         I trust soft drinks producers and importers in the UK to maximise the healthfulness of their soft drinks. [UNIVERSE: UK only]

                     [Insert dropdown list for each of above]
                     Strongly agree
                     Agree
                     Neither agree nor disagree
                     Disagree
                     Strongly disagree
                     Don’t know
                     Refuse to answer
SUGAR ATTITUDES      UNIVERSE: UK only
                     Please tell us whether you agree or disagree with the following:
SF_TASTE_GOOD
SF_HEALTHY
SF_SHOULD_NOT        Sugary foods taste good
SF_TRY_NOT           High sugar foods are healthy
SF_EAT_A_LOT         I should not eat high sugar foods
                     In our household, we try not to eat foods high in sugar
                     I eat a lot of high sugar foods

                     [Insert dropdown list for each of above]
                     Strongly agree
                     Agree
                     Neither agree nor disagree
                     Disagree
                     Strongly disagree
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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

                  Don’t know
                  Refuse to answer
SSB ATTITUDES     UNIVERSE: UK only
                  Please tell us whether you agree or disagree with the following:
SD_TASTE_GOOD
SD_HEALTHY
SD_SHOULD_NOT     Sugary drinks taste good
SD_TRY_NOT        High sugar drinks are healthy
SD_DRINK_A_LOT    I should not drink sugary drinks
                  In our household, we try not to drink sugary drinks
                  I consume a lot of sugary drinks

                  [Insert dropdown list for each of above]
                  Strongly agree
                  Agree
                  Neither agree nor disagree
                  Disagree
                  Strongly disagree
                  Don’t know
                  Refuse to answer
SUGAR KNOWLEDGE   Please rate if you feel the following are true or false:
SF_OBESITY
SF_DIABETES       Eating food high in SUGAR increases the risk of obesity.
SF_TOOTH          Eating food high in SUGAR increases the risk of diabetes.
                  Eating food high in SUGAR increases the risk of tooth decay.
SD_OBESITY
SD_DIABETES
SD_TOOTH          Frequently drinking SUGARY DRINKS increases the risk of obesity.
                  Frequently drinking SUGARY DRINKS increases the risk of diabetes.
TAX_RED_SUGAR     Frequently drinking SUGARY DRINKS increases the risk of tooth decay.
TAX_INCR_PRICE
                  UNIVERSE: UK only
                  The sugary drink tax in the UK is intended to encourage industry to reduce sugar in their products.

                  UNIVERSE: UK only
                  The sugary drink tax in the UK is intended to increase the price of soft drinks.

                  [Insert dropdown list for each of above]
                  True
                  False
                  Don’t know
                  Refuse to answer

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

NUTRITION KNOWLEDGE

DOMAIN                  QUESTION
SOURCE
SELF-REPORTED           How would you rate your nutrition knowledge?
NUTRITION
                        Not at all knowledgeable
KNOWLEDGE
CFDR, OTTAWA,           A little knowledgeable
ETC.                    Somewhat knowledgeable
                        Very knowledgeable
NUT_KNOW                Extremely knowledgeable
                        Don’t know
                        Refuse to answer

SOURCES OF NUTRITION INFORMATION

DOMAIN                  QUESTION
SOURCE
SOURCES OF              In the past 12 months, did you get information on food or nutrition from any of the following sources? (Select all that apply)
NUTRITION INFO
                        Health professional (e.g., family doctor, nurse, or dietitian)
CCHS Food Guide
module and TNT          Alternative health practitioner (e.g., chiropractor, naturopath, homeopath, holistic nutritionist)
integrated content      Health association materials or website (e.g., British Heart Foundation, Cancer Research UK, British Nutrition Foundation)
(adapted to be for 12   Fitness programs / personal trainer
months rather than 6)
                        Weight loss programs (such as Weight Watchers)
INFO_[TYPE]             Your family, friends, or colleagues
INFO_NONE               The Eatwell Plate
INFO_DK                 Government / health agency materials, websites or apps including NHS Choices
INFO_R
                        Food company materials, advertisements, websites or apps
INFO_APPTEXT
INFO_OTEXT              Nutrition Information Tables on food products
                        Food product labels
                        Supermarkets
                        Magazines, newspapers or books
                        TV or radio
                        General research on the internet
                        Social media or blogs (e.g., Facebook, Twitter)
                        Celebrities (e.g., Gwyneth Paltrow, Food Babe)
                        Mobile app  Which app? [open-ended]
                        Other  Please specify: [open-ended]
                        None of the above
                        Don’t know
                        Refuse to answer
                                                                                            37
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

PUBLIC EDUCATON     Do you remember seeing any educational messages or campaigns on healthy eating from the government or health authorities in the past 12 months?
                    Yes
PUBLIC_ED1
                    No
                    Don’t know
                    Refuse to answer
PUBLIC EDUCATON –   Can you briefly describe the message or campaign?
DESCRIPTION
                    [OPEN TEXT FIELD]
PUBLIC_ED2
DOCTOR ADVICE       Has a doctor ever advised you to do any of the following? (Select all that apply)
                    Lose weight
DOCADVICE_[TYPE]
DOCADVICE_NONE      Reduce sodium or salt intake
DOCADVICE_DK        Reduce cholesterol in your diet
DOCADVICE_R         Reduce sugary drinks
DOCADVICE_OTEXT
                    Eat more fruits and vegetables
                    Other diet advice (please specify):
                    None of the above
                    Don’t know
                    Refuse to answer

FOOD PACKAGING & LABELLING

DOMAIN              QUESTION
SOURCE
NUTRITION INFO IN   In your opinion, is nutrition information easy or hard to find in supermarkets?
GROCERY STORES
                    Very hard to find
INFO_GROCERY        Hard to find
                    Neither hard nor easy
                    Easy to find
                    Very easy to find
                    Don’t know
                    Refuse to answer

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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

LABEL AWARENESS     We would now like to ask you some questions about food labels on products.
LABEL_AWARE_UK
                    How often have you seen this type of food label on packages or in stores?

                    Never
                    Rarely
                    Sometimes
                    Often
                    All the time
                    Don’t know
                    Refuse to answer
LABEL USE           UNIVERSE: LABEL_AWARE_UK = ‘rarely’, ‘sometimes’,‘often’, or ‘all the time’
                    How often do you use this type of food label when deciding to buy a food product?
LABEL_USE_UK

                    Never
                    Rarely
                    Sometimes
                    Often
                    All the time
                    Don’t know
                    Refuse to answer
LABEL               Do you find this information…
UNDERSTANDING

LABEL_UNDERSTAND_
UK

                    Very hard to understand
                    Hard to understand
                    Neither hard nor easy
                    Easy to understand
                    Very easy to understand
                    Don’t know
                    Refuse to answer

                                                                                                  39
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

NFT AWARENESS   We would now like to ask you some questions about food labels on products.
NFT_AWARE_UK
                How often have you seen this type of food label on packages or in stores?

                Never
                Rarely
                Sometimes
                Often
                All the time
                Don’t know
                Refuse to answer
NFT USE         UNIVERSE: NFT_AWARE_UK = ‘rarely’, ‘sometimes’,‘often’, or ‘all the time’
                How often do you use this type of food label when deciding to buy a food product?
NFT_USE_UK

                Never
                Rarely
                Sometimes
                Often
                All the time
                Don’t know
                Refuse to answer

                                                                                            40
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

NFT                Do you find this information…
UNDERSTANDING

NFT_UNDERSTAND_U
K

                   Very hard to understand
                   Hard to understand
                   Neither hard nor easy
                   Easy to understand
                   Very easy to understand
                   Don’t know
                   Refuse to answer
NFT INFLUENCE      Overall, how much do food labels influence what you eat?
                   No influence at all
LABEL_OVERALL
                   A little influence
                   Some influence
                   A lot of influence
                   Very strong influence
                   Don’t know
                   Refuse to answer

                                                                              41
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

FOOD PRODUCTS –    [PROGRAMMER NOTE: Randomize order of 13 food products, and record order of randomization.]
PERCEIVED HEALTH   Overall, how healthy is this food product?
                   Please answer on a scale from 0 to 10, where 0 = Not at all healthy, and 10 = Extremely healthy.
HLTH1…13           0 1 2 3 4               5     6     7     8     9    10
                   Not at all healthy                                   Extremely healthy

                   Don’t know
                   Refuse to answer

                                                                                                      42
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

WARNING LABELS   PROGRAMMER NOTE: Randomly assign to 1 of 6 label conditions:
                 Control (no label)
WARN_CONTROL     Yellow text warning
WARN_YELLOW      Health star rating
WARN_STAR
WARN_CHILE
                 Chilean warning
WARN_GDA         Guideline Daily Amount (GDA)
WARN_TRAFFIC     Traffic light

                 In your opinion, is this product…
                 Very unhealthy
                 Unhealthy
                 A little unhealthy
                 Neither unhealthy nor healthy
                 A little healthy
                 Healthy
                 Very healthy
                 Don’t know
                 Refuse to answer

                                                                                43
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

RETAIL ENVIRONMENT

DOMAIN               QUESTION
SOURCE
SUPERMARKET          [PROGRAMMER NOTE: SHOW 2 RANDOMLY SELECTED ITEMS TO EACH PARTICIPANT; RANDOMIZE ORDER OF ITEM PRESENTATION. HIDE BACK BUTTON. USE TABLE FORMAT.]
POLICIES             Would you support or oppose the following practices in supermarkets …
                     Fewer end-of-aisle displays containing unhealthy foods or soft drinks
POL_AISLE            Checkouts with only healthy products (e.g., no soft drinks, chocolate, sweets)
POL_CAL_CHECK
POL_SHELF
                     More shelf space for fresh and healthier foods such as fruits and vegetables

                     Support
                     Neutral
                     Oppose
                     Don’t know
                     Refuse to answer
HOME RETAIL          [PROGRAMMER NOTE: Hide back button; use table format]
                     Are the following food or drinks sold in stores you can get to WITHIN 5 MINUTES FROM YOUR HOME, using your usual mode of transportation (e.g., walk,
HOME_JUNK
                     drive, or public transport)?
HOME _FV
HOME _HEALTHY        Junk food
HOME _SSB            Fresh fruit or vegetables
HOME_WATER           Other healthy snacks
                     Sugary drinks
                     Clean drinking water

                     Not available to buy / Available to buy / Don’t know / Refuse to answer
SCHOOL RETAIL        UNIVERSE: Full-time or part-time student (student=2 or 3)
                     [PROGRAMMER NOTE: Use table format]
SCHOOL_[TYPE]_NA     Are the following food or drinks available at your SCHOOL/COLLEGE/UNIVERSITY?
SCHOOL_[TYPE]_FREE
                     Do not include items you bring from home.
SCHOOL_[TYPE]_BUY
SCHOOL_[TYPE]_DK     Junk food
SCHOOL_[TYPE]_R      Fresh fruit or vegetables
                     Other healthy snacks
                     Sugary drinks
                     Clean drinking water

                     Not available / Available for free / Available to buy / Don’t Know / Refuse to answer
WORK RETAIL          UNIVERSE: Main activity was working at a paid job or business, or vacation (from paid work) (occup=1 or 2)
                     [PROGRAMMER NOTE: Use table format]
WORK_[TYPE]_NA       Are the following food or drinks available at your WORKPLACE?
WORK_[TYPE]_FREE
                     Do not include items you bring from home.
WORK_[TYPE]_BUY
WORK_[TYPE]_DK       Junk food
WORK_[TYPE]_R        Fresh fruit or vegetables
                                                                                                      44
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

                    Other healthy snacks
                    Sugary drinks
                    Clean drinking water

                    Not available / Available for free / Available to buy / Don’t Know / Refuse to answer

MENU LABELLING

DOMAIN              QUESTION
SOURCE
LAST RESTAURANT     When was the last time you visited a restaurant (including a fast-food outlet or coffee shop)?
VISIT
                    Within the last 24 hours
FCMS                Within the last 7 days
REST_VISIT          Within the last month
                    Within the last 3 months
                    Within the last 6 months
                    Longer than 6 months ago
                    Don’t know
                    Refuse to answer
MENU LABELLING –    UNIVERSE: Visited restaurant within last 6 months (rest_visit=1-5)
NOTICING            The last time you visited a restaurant, did you notice any nutrition information?
FCMS (ADAPTED)      Yes
                    No
REST_INFO
                    Don’t know
                    Refuse to answer
MENU LABELLING –    UNIVERSE: Noticed nutrition info (rest_info=yes)
NOTICING LOCATION   Where was this information located? (Select all that apply)
                    On the menu/menu board
REST_INFO_[TYPE]
REST_INFO_DK        On a poster or sign
REST_INFO_R         Next to a food item
REST_INFO_OTEXT     On the item packaging/wrapper
                    On the tray liner
                    On a napkin
                    In a pamphlet or brochure
                    On a computer screen / At a kiosk
                    Other  Please specify: [open-ended]
                    Don’t know
                    Refuse to answer

                                                                                         45
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

MENU LABELLING –      UNIVERSE: Noticed nutrition info (rest_info=yes)
ORDER                 Did the nutrition information influence what you ordered?
INFLUENCE             Yes
FCMS                  No
                      Don’t know
REST_INFO_INFL
                      Refuse to answer
MENU LABELLING –      UNIVERSE: Visited restaurant within last 6 months (rest_visit=1-5)
IMPACT                In the past 6 months, have you done any of the following because of nutrition information in restaurants? (Select all that apply)
FCMS                  Ordered something different
                      Eaten less of the food you ordered
REST_ACT_[TYPE]
REST_ACT_NONE         Changed which restaurants you visit
REST_ACT_DK           Eaten at restaurants less often
REST_ACT_R            None of the above
                      Don’t know
                      Refuse to answer

FOOD GUIDE / DIETARY RECOMMENDATIONS

DOMAIN                 QUESTION
SOURCE
FOOD GUIDE – LAST      When was the last time you looked at the Eatwell Plate, if ever?
USE
                       In the last month
OTTAWA AND CFDR
(ADAPTED TIME          In the last 6 months
ANCHORS)               In the last year
                       More than a year ago
FG_LOOK
                       Never
                       Don’t know
                       Refuse to answer
FOOD GUIDE – USE       UNIVERSE: Ever looked at food guide (fg_look ≠ 5)
CCHS FOOD GUIDE        Have you ever used information from the Eatwell Plate... (Select all that apply)
MODULE (ADAPTED
                       To choose foods
RESPONSE OPTIONS TO
SIMPLIFY               To determine how much you need to eat every day
YOU/HOUSEHOLD)         To plan meals or to help with food shopping
                       To assess how well you are eating
FG_USE_[TYPE]
                       To manage your weight
FG_USE_NONE
FG_USE_DK              To help make healthy choices when eating away from home
FG_USE_R               Other  Please specify: [open-ended]
FG_USE_OTEXT           None of the above
                       Don’t know
                       Refuse to answer

                                                                                           46
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY

FOOD MARKETING

DOMAIN               QUESTION
SOURCE
EXPOSURE TO          In the last 30 days, have you seen or heard any advertisements or promotions for ‘unhealthy foods’ in the following places? (Select all that apply)
UNHEALTHY FOOD
MARKETING -
LOCATION             Unhealthy foods include processed foods high in sugar, salt, or saturated fat, such as fizzy drinks, fast food, crisps, sugary cereals, cookies and chocolate bars.

MKTG_LOC_[TYPE]      TV
MKTG_LOC_NONE
                     Radio
MKTG_LOC_DK
MKTG_LOC_R           Online / internet
MKTG_LOC_OTEXT       Mobile app / video game
                     Social media (e.g., Twitter, Facebook, Instagram)
                     In a text message
                     Magazine or newspaper
                     Billboard or outdoor sign (e.g., posters)
                     On buses, bus stops and other public transport
                     In films or at the cinema
                     At school/college/university
                     Signs or displays in supermarkets, convenience shops or restaurants
                     At a recreation/community centre
                     Sports event, concert or community event
                     Giveaways, samples or special offers
                     Other  Please specify: [open-ended]
                     I haven’t seen any advertising or promotions for unhealthy food in the last 30 days
                     Don’t know
                     Refuse to answer
EXPOSURE TO          UNIVERSE: UK only.
MARKETING –          In the last 30 days, have you seen or heard any advertisements or promotions for SUGARY DRINKS in the following places? (Select all that apply)
SUGARY DRINKS

MKTG_SSB_LOC_[TYPE   SUGARY DRINKS are drinks that contain added sugar, like fizzy drinks, fruit drinks, sports drinks, energy drinks, chocolate milk, and speciality coffees that have
]                    added sugar.
MKTG_SSB_
LOC_NONE
                     TV
MKTG_SSB_ LOC_DK
MKTG_SSB_ LOC_R      Radio
MKTG_SSB_            Online / internet
LOC_OTEXT            Mobile app / video game
                     Social media (e.g., Twitter, Facebook, Instagram)
                     In a text message
                     Magazine or newspaper
                     Billboard or outdoor sign (e.g., posters)
                                                                                          47
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